Individual
BONNIE ESTHER MATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C., L.M.F.T.
Contact information
Practice address
247 CHATEAU DR SW, HUNTSVILLE, AL 35801-6401
(256) 533-9393
(256) 533-9690
Mailing address
247 CHATEAU DR SW, HUNTSVILLE, AL 35801-6401
(703) 965-9545
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2773
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224420000
MAGELLAN INFORMATION SYST
VA
Enumeration date
02/27/2007
Last updated
05/04/2010
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